Family Practice & Counseling Network is seeking a Revenue Cycle Manager; The Revenue Cycle Manager will be responsible for network wide revenue cycle management and all related process improvement initiatives to maximize the financial performance and integrity of health center activity. Oversees all revenue cycle activities including: claims processing, billing and vendor management, accounts receivable, patient collections, payment compliance, and revenue cycle training.
Essential Duties and Functions
Manage all departmental matters including personnel, resource management, reporting, training and other organizational requirements.
Ability to supervise and lead staff of various skills levels.
Coach, motivate, develop and provide guidance to direct reports.
Oversee the development, enhancement, and on-going education for all direct reports.
Oversees the management of select revenue cycle personnel. Trains, orients and evaluates performance of assigned personnel.
Develops work standards, monitors quality and quantity of work processed, and ensures that policies are communicated and administered consistently.
Works closely with site personnel and operations managers to monitor compliance to policies and procedures as they relate to the revenue cycle.
Manage timesheet and payroll submission related to direct report
Revenue Cycle Management
Advanced analytical and decision making skills.
Create workflows in collaboration with the Application Support Coordinator for process improvement by completing root cause analysis on ineffective processes.
Oversees processes to ensure effective optimization of revenue cycle design, evaluate current business offerings, and identify improvements, enhancements, and new service line opportunities.
Maintains a proactive working knowledge of all clinical and dental operations and workflows relative to the revenue cycle.
Establishes goals and develops training processes to ensure maximization of workforce.
Identities and analyzes financial reporting using Centricity Practice Management/Dentrix.
Collaborates with System Analyst to configure all PM systems relative to the revenue cycle including, fee schedules, insurance carriers, CPT/ICD codes, provider files, EDI set-up, administrative table maintenance, Hosted Claims Manager, task manager set up.
Establishes quality review processes to ensure the effectiveness of revenue cycle and make modifications as needed.
Ensures areas of responsibility achieve quarterly and annual goals and other established KPI’s.
Complies with federal and state laws, FPCN policies and procedures related to revenue cycle management.
Maintains all insurance billing manuals, and SFDS, billing, collections, AR and write off policies and procedures.
Bachelor’s degree in finance, accounting or closely related field. Master’s degree preferred or ten (5) years of experience working as a leader in healthcare revenue cycle department.
Minimum of seven (7) years’ experience in healthcare billing, practice management systems, accounts receivable, revenue cycle operations, coding compliances within a healthcare setting.
Minimum of five (5) years’ experience in a managerial capacity.
Experience in advanced management to direct and develop policies and budgets.
Demonstrated project management skills and the ability to manage multiple priorities to achieve goals as required.
Ability to read and interpret an extensive variety of documents such as contracts, claims, instructions, policies and procedures.
Ability to define problems, collect data, establish facts and draw valid conclusions.
Advanced knowledge of Microsoft Excel and other office products.
Excellent written and verbal communication skills.
Exhibit behaviors that align with RHD/FPCN’s organizational values, mission, and beliefs and avoid displaying behaviors that are in opposition to those values
Support FPCN’s commitment to the creation of a trauma-informed system of care that continually recognizes and responds to the impact of traumatic stress on all those who have contact with the organization, including children, adults, families, caregivers, and staff.
Demonstrate cultural competence/proficiency in interactions with others by treating co-workers, colleagues and those receiving service with respect and fairness at all times.
Ability to build and maintain positive and professional relationships based on respect, trust, and safety.
Ability to create a space for staff and those we serve to feel physically and emotionally safe.
Ability to support individuals on their paths to recovery and healing and resist re-traumatization of staff and patients.
Demonstrate exemplary problem-solving, communication, interpersonal, and conflict resolution skills.
Ability to work effectively as a team member
Ability to work in an open office environment.
Highly responsible and reliable as well as courteous
Unconditional ability to maintain patient confidentiality
Exemplary organizational skills and ability to prioritize
Family Practice and Counseling Network, a program of Resources for Human Development, is a network of community health centers providing comprehensive primary care, dental and behavioral health services. The Network consists of four health centers in Philadelphia – Abbottsford-Falls Family Practice & Counseling in the Northwest, the Stephen and Sandra Sheller 11th Street Family Health Services of Drexel University in the North, the Health Annex in the Southwest, and Annex West Health Center in West Philly housed in Action Wellness building (formerly Action AIDS); a convenient care clinic in Philadelphia – QCare; one health center in York, PA.—East Side Health Center. Today the Network serves more than 20,000 patients annually and is an NCQA certified Patient-Centered Medical Home.
The Network’s mission is to provide person-centered, integrated and comprehensive health services to individuals and families across their lifespan. The Network promotes resiliency and well-being among patients, staff and surrounding communities. Network services are targeted to the surrounding communities and the advisory committee that guides services primarily consists of people from the communities served.
Resources for Human Development is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, age, religion, gender, gender identity, sexual orientation, national origin, genetic information, and veteran or disability status.